ALINITY I CMV IGG REAGENT KIT
Report
- Report Number
- 3008344661-2025-00081
- Event Type
- Malfunction
- Date Received
- June 4, 2025
- Date of Event
- May 27, 2025
- Report Date
- June 10, 2025
- Manufacturer
- ABBOTT IRELAND DIAGNOSTICS DIVISION
- Product Code
- LFZ
- UDI-DI
- 00380740129798
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
AN EVALUATION IS IN PROCESS. A FINAL REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE. SECTION E1 - PHONE NUMBER COMPLETE ENTRY = (B)(6). ALL AVAILABLE PATIENT INFORMATION WAS INCLUDED. ADDITIONAL PATIENT DETAILS ARE NOT AVAILABLE. THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT, LIST NUMBER 07P42-22 THAT HAS A SIMILAR PRODUCT DISTRIBUTED IN THE US, LIST NUMBER 07P42-24/-33 AND A 510K/PMA/BLA NUMBER OF K220949.
THE COMPLAINT INVESTIGATION INCLUDED A REVIEW OF DATA AND INFORMATION PROVIDED BY THE CUSTOMER, SEARCH FOR SIMILAR COMPLAINTS, TICKET TRENDING REVIEW, LABELING REVIEW, DEVICE HISTORY RECORD REVIEW, AND IN HOUSE TESTING OF A RETAINED REAGENT KIT LOT 67106FZ00. RETURN TESTING WAS NOT COMPLETED AS RETURNS WERE NOT AVAILABLE. DATA AND INFORMATION PROVIDED BY THE CUSTOMER WERE REVIEWED AND SUPPORT THE COMPLAINT ISSUE WITHOUT INDICATION FOR ANY ADDITIONAL ISSUE. THE TICKET SEARCH BY LOT INDICATES THAT THE REAGENT LOT PERFORMS AS EXPECTED FOR THIS PRODUCT. THE TICKET TRENDING REVIEW DID NOT IDENTIFY AN INCREASE IN COMPLAINT ACTIVITY. DEVICE HISTORY REVIEW DID NOT IDENTIFY ANY NON-CONFORMANCES OR DEVIATIONS WITH THE COMPLAINT LOT. IN-HOUSE TESTING WAS COMPLETED USING PANELS WHICH MIMIC PATIENT SAMPLES USING AN IN-HOUSE RETAINED KIT. ALL SPECIFICATIONS WERE MET INDICATING THE LOT IS PERFORMING ACCEPTABLY. LABELING WAS REVIEWED AND SUFFICIENTLY ADDRESSES THE CUSTOMER¿S ISSUE. BASED ON THE INVESTIGATION, NO SYSTEMIC ISSUE OR DEFICIENCY OF THE ALINITY I CMV IGG REAGENT LOT 67106FZ00 WAS IDENTIFIED.
THE CUSTOMER OBSERVED A FALSE REACTIVE ALINITY I CMV IGG RESULT FOR A PREGNANT FEMALE SAMPLE. IT WAS REPORTED THAT THE PATIENT HAS ALWAYS TESTED NEGATIVE IN OTHER LABORATORIES IN THE PAST FOR CMV IGG. THE FOLLOWING DATA WAS PROVIDED (CUSTOMER¿S REFERENCE RANGE >/=6.00 AU/ML IS REACTIVE): (B)(6) 2025 SAMPLE ID (B)(6), INITIAL RESULT = 36.8 AU/ML, (B)(6) 2025 REPEAT RESULT = 0.2 AU/ML. ADDITIONAL LABORATORY DATA PROVIDED: CMV IGM (B)(6) 2025 INITIAL RESULT = 0.78 INDEX, (B)(6) 2025 REPEAT RESULT = 0.80 INDEX (REFERENCE RANGE >/= 1.00 IS REACTIVE). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
THE CUSTOMER OBSERVED A FALSE REACTIVE ALINITY I CMV IGG RESULT FOR A PREGNANT FEMALE SAMPLE. IT WAS REPORTED THAT THE PATIENT HAS ALWAYS TESTED NEGATIVE IN OTHER LABORATORIES IN THE PAST FOR CMV IGG. THE FOLLOWING DATA WAS PROVIDED (CUSTOMER¿S REFERENCE RANGE >/=6.00 AU/ML IS REACTIVE): (B)(6) 2025 SAMPLE ID (B)(6) INITIAL RESULT = 36.8 AU/ML, (B)(6) 2025 REPEAT RESULT = 0.2 AU/ML ADDITIONAL LABORATORY DATA PROVIDED: CMV IGM (B)(6) 2025 INITIAL RESULT = 0.78 INDEX, (B)(6) 2025 REPEAT RESULT = 0.80 INDEX (REFERENCE RANGE >/= 1.00 IS REACTIVE). NO IMPACT TO PATIENT MANAGEMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 673600 | ALINITY I CMV IGG REAGENT KIT | ENZYME LINKED IMMUNOABSORBENT ASSAY, CYTOMEGALOVIRUS | LFZ | ABBOTT IRELAND DIAGNOSTICS DIVISION | 67106FZ00 | 00380740129798 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) | ALNTY I PROCESSING MODU, 03R65-01, (B)(6) |